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Author Archive: Craig Klugman

About Craig Klugman


by Craig Klugman, Ph.D.

A Facebook connection, we can call them Virginia, recently posted an image of a metal ring with electrical prongs. The caption said “Introducing the new Trump is not my president ring, insert it into an outlet and bam, Trump is not your president.” Of course, plugging in a metal ring that you are holding into an electrical outlet would electrocute and potentially kill a person. The message is that people who are not supportive of the President should be die. This is not the first time this person posted a similar concept. Each time I point out that it is ethically unacceptable to espouse that a person should be killed for their beliefs.…

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by Craig Klugman, Ph.D.

The World Health Organization (WHO) has just declared “a public health emergency of international concern” for the coronavirus. The statement means that all countries should take this disease seriously and allows countries to close borders, cancel flights, and screen people in airports, all measures that some countries (such as the U.S.) were already taking. As scientists learn more about this disease and governments respond, China has taken several drastic measures to block the spread of the infection including an unprecedented quarantine of 50 million people.

What is Coronavirus?
This latest outbreak is not “The Coronavirus” because that term refers to a family of viruses that range from the common cold to MERS to SARS.…

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New Amsterdam (Seaons 2; Episode 11): Role of electronic medical records; Experimental medicine; Chicago Med (Season 5; Episode 12): When the personal compromises the professional

New Amsterdam (Seaons 2; Episode 11): Role of electronic medical records; Experimental medicine

Goodwin makes a new policy that no screens are allowed in patient rooms—no tablets, cellphones, laptops, or computers. The reaction from the doctors is fast and furious—”that isn’t possible.” They need screens to document patient information and to know the name of the patient in front of them. Sharpe says that they will have to learn their patients and make an emotional connection, just like they did before there were screens.…

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by Craig Klugman, Ph.D.

Last week, NPR reported on a new pre-publication article published in the journal Human Reproduction (HR). The study was conducted in Mexico where 81 women received in vivo assisted reproduction (a cycle of ovarian stimulation followed by artificial insemination—introduction of sperm into her body). After several days, researchers used the patented Previvo Genetics1 lavage device to wash the embryos out her uterus. Twenty of these women also underwent a (second) more traditional in vitro fertilization (IVF) cycle and all embryos were tested for “euploidy rates” (having the correct number of chromosomes) and morphology (shape and appearance of the cells).…

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by Craig Klugman, Ph.D.

As the legend goes, in the 16th Century, when he was 51 years of age, Ponce de Leon received permission from the King and Queen of Spain to explore the islands north of Puerto Rico to search for the fountain of youth, a fabled spring that would grant eternal life and youth to whomever drank from it or bathed in it. He eventually discovered Florida and the southeast United States.1 Every few years, it seems that the next fountain of youth splashes across the news pages. Extreme calorie restriction extends the life of rodents? While human followers appear to be healthier agers (or were they going to age with more health to begin), results have not shown extended life spans.…

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“Exploring ethical issues in TV medical dramas”

by Craig Klugman, Ph.D.

The Good Doctor (Season 3; Episode 11): Anesthesia and addiction; the limits of compassion; The Resident (Season 3; Episode 12): Dying (or not) on your own terms; Suing patients for medical debt; Chicago Med (Season 5; Episode 11): Quid pro quo—switched embryos, safe injection sites; surrogate withdrawal of life support

The Good Doctor (Season 3; Episode 11): Anesthesia and addiction; the limits of compassion

Carrie is a patient who arrives with a complicated leg fracture after falling while mountain biking. The patient refuses pain meds, saying that Vicodin makes her sick.…

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“Exploring ethical issues in TV medical dramas”

The Resident (Season 3; Episode 11): Keeping information from patients; Capitalism and medicine do not mix; Chicago Med (Seasons 5, Episode 10): Doctors and the opioid epidemic; different approaches to treating patients

by Craig Klugman, Ph.D.

The Resident (Season 3; Episode 11): Keeping information from patients; Capitalism and medicine do not mix

Austin’s patient has an infection of the chest that can be cleaned out with surgery and then scar tissue removed in the hope that she can breathe again. She has, apparently, beaten her cancer. The surgery, however, is risky. Austin and Nevins take a good cop/bad cop approach in giving the patient the risks and benefits.…

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by Craig Klugman, Ph.D.

This week Las Vegas hosted the 2020 Consumer Electronics Show (CES) where tech companies can show off the devices they hope we will all be buying soon. With an expected market share of $504 million in the next five years, over 200 Digital Health related companies were showing their wares at CES.

The FDA defines digital health as “The broad scope of digital health includes categories such as mobile health (mHealth), health information technology (IT), wearable devices, telehealth and telemedicine, and personalized medicine”. These devices, apps, and programs are supposed to help us learn more about our health and take steps to improve it.…

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by Craig Klugman, Ph.D.

Last week, I received an automated phone call from my local grocery chain saying that I had purchased some hardboiled eggs that were part of a recall and I should return the eggs for a full refund.

My initial reaction was that the call was a wonderful public health outreach program. The company that processed and distributed the eggs issued a recall after 7 people were infected with Listeria monocytogenes (4 were hospitalized; 1 died). A CDC investigation (https://www.cdc.gov/listeria/outbreaks/eggs-12-19/index.html) found that all of the infected patients had eaten hardboiled egg products from one processing plant.  Besides a posting on the CDC website, major news outlets covered the recall and most markets pulled hardboiled egg products from their shelves.…

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by Craig Klugman, Ph.D.

The Resident (Season 3; Episode 10): Padding stats, gaming the system, losing perspective

During brain surgery, an 89-year-old white male with advanced dementia starts “breaking down”. Cain tells his resident to open the brain. Voss says that the brain is herniating: “Given his physical and mental status before surgery and given his brain herniation, he will have zero quality of life, even if you can call it life…He’ll be a body in a bed, a vegetable. It’s the compassionate choice at this point [to let him go].” Cain Responds, “I’m only going to say this once. Nobody.…

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